On Some Issues of Health Care Finance of RA

Abstract

The article reviews the existing problems of financing in health system of RA, and presents possible approaches to their solution. The author points that after the introduction of official co-payments for health services, it doesn’t place the matter on optimal proportion of state free funding and these co-payments, which on the one hand may stimulate the improvement of the quality of health services, and on the other, at the same time restrain access to health care for users. The author discusses the issue of existing similar health services and financing for the persons included in the list of beneficiary of the package of social services, provided by the state and gratuitous primary outpatient medical care for the same person. For the improving of the efficiency of health services and their financing the author offers funding all health services, including primary services for persons included in the list of users of the package of social services through the channel health insurance. The positive effect of this approach is justified by comparing the interests of all stakeholders. In this case the aim and effectiveness of public funding, provisions of high-quality and comprehensive health care services to consumers, as well as a direct interest in monitoring the quality of treatment insured by the insurers are taken into account.